0001127602-20-013238.txt : 20200403
0001127602-20-013238.hdr.sgml : 20200403
20200403173746
ACCESSION NUMBER: 0001127602-20-013238
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200401
FILED AS OF DATE: 20200403
DATE AS OF CHANGE: 20200403
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Clark James David
CENTRAL INDEX KEY: 0001757584
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-01011
FILM NUMBER: 20774980
MAIL ADDRESS:
STREET 1: ONE CVS DRIVE
CITY: WOONSOCKET
STATE: RI
ZIP: 02760
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: CVS HEALTH Corp
CENTRAL INDEX KEY: 0000064803
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912]
IRS NUMBER: 050494040
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: ONE CVS DR.
CITY: WOONSOCKET
STATE: RI
ZIP: 02895
BUSINESS PHONE: 4017651500
MAIL ADDRESS:
STREET 1: ONE CVS DR.
CITY: WOONSOCKET
STATE: RI
ZIP: 02895
FORMER COMPANY:
FORMER CONFORMED NAME: CVS CAREMARK CORP
DATE OF NAME CHANGE: 20070509
FORMER COMPANY:
FORMER CONFORMED NAME: CVS/CAREMARK CORP
DATE OF NAME CHANGE: 20070322
FORMER COMPANY:
FORMER CONFORMED NAME: CVS CORP
DATE OF NAME CHANGE: 19970128
4
1
form4.xml
PRIMARY DOCUMENT
X0306
4
2020-04-01
0000064803
CVS HEALTH Corp
CVS
0001757584
Clark James David
ONE CVS DRIVE
WOONSOCKET
RI
02895
1
SVP, Cont & Chief Acct Officer
Common Stock
2020-04-01
4
F
0
681
58.34
D
11321.2554
D
Common Stock (restricted)
2020-04-01
4
A
0
7713
58.34
A
20204
D
Stock Option
58.34
2020-04-01
4
A
0
17157
58.34
A
2021-04-01
2030-04-01
Common Stock
17157
17157
D
Stock Option
74.29
2015-04-01
2021-04-01
Common Stock
5350
5350
D
Stock Option
102.26
2016-04-01
2022-04-01
Common Stock
6059
6059
D
Stock Option
104.82
2017-04-01
2023-04-01
Common Stock
7044
7044
D
Stock Option
78.05
2018-04-03
2024-04-03
Common Stock
9050
9050
D
Stock Option
62.21
2019-04-01
2025-04-01
Common Stock
7513
7513
D
Stock Option
54.19
2020-04-01
2029-04-01
Common Stock
24240
24240
D
Surrrender of shares in payment of withholding taxes due upon the vesting of restricted stock awards.
Consists of restricted stock units awarded pursuant to Issuer's 2017 Incentive Compensation Plan. Restrictions lapse in four equal installments, commencing 4/1/2021.
Option becomes exercisable in four equal annual installments, commencing 4/1/2021.
Remaining options became exercisable in four equal annual installments beginning on 4/1/2015.
Options became exercisable in four equal annual installments beginning on 4/1/2016.
Options became exercisable in four equal annual installments beginning on 4/1/2017.
Options became exercisable in four equal annual installments beginning on 4/3/2018.
Options became exercisable in four equal annual installments, commencing 4/1/2019.
Options became exercisable in four equal annual installments, commencing 4/1/2020.
/s/ James D. Clark
2020-04-03